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The Problem Of Practice Variation In Newborn Medicine


The Problem Of Practice Variation In Newborn Medicine
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The Problem Of Practice Variation In Newborn Medicine


The Problem Of Practice Variation In Newborn Medicine
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Author : Joseph Schulman
language : en
Publisher: Springer Nature
Release Date : 2022-05-20

The Problem Of Practice Variation In Newborn Medicine written by Joseph Schulman and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-05-20 with Medical categories.


Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.



The Problem Of Practice Variation In Newborn Medicine


The Problem Of Practice Variation In Newborn Medicine
DOWNLOAD
Author : Joseph Schulman
language : en
Publisher:
Release Date : 2022

The Problem Of Practice Variation In Newborn Medicine written by Joseph Schulman and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.


Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population's overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable - why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, "Which rate is 'right'; what is the performance target?" The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.



The Sages Manual For Navigating A Successful Military Surgical Career


The Sages Manual For Navigating A Successful Military Surgical Career
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Author : Andrew T. Schlussel
language : en
Publisher: Springer Nature
Release Date : 2025-07-02

The Sages Manual For Navigating A Successful Military Surgical Career written by Andrew T. Schlussel and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-07-02 with Medical categories.


The aim of this manual is to offer a comprehensive framework for both present and future military surgeons, enabling them to effectively navigate and build a successful career within the military, while also providing them with transferable skills upon completion of their military service. The military healthcare system operates within a unique framework with distinct challenges and opportunities. By acquiring knowledge and insights into the intricacies of military career paths, surgeons can make informed decisions about assignments, promotions and professional development. Navigating an Army, Air Force, Navy or Reserve career requires an understanding of the organizational structures, consultant roles and specific requirements of each service branch. Additionally, being aware of opportunities for advanced education, leadership development and operational assignments enables surgeons to develop a career trajectory aligned with their goals and aspirations. Presently there is not a sole source document, either in the military or civilian sectors, that allows easy access and references to the multiple opportunities afforded to military surgeons or an understanding of life as a surgeon on active duty. Furthermore, this text provides context to civilian organizations, administrative personnel, recruiting departments and family members that interact with or assist in making important decisions for military surgeons. This manual features insight and guidance from senior leaders of our Armed Forces, both past and present, who have excelled in academic, operational and clinical surgical careers. By providing a reference for successfully navigating a military career, this will not only enhance the professional growth of a surgeon, but also ensure the delivery of high-quality healthcare to our service members and beneficiaries both domestic and abroad.



Quality Improvement In Neonatal And Perinatal Medicine An Issue Of Clinics In Perinatology


Quality Improvement In Neonatal And Perinatal Medicine An Issue Of Clinics In Perinatology
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Author : Alan R. Spitzer
language : en
Publisher: Elsevier Health Sciences
Release Date : 2010-04-29

Quality Improvement In Neonatal And Perinatal Medicine An Issue Of Clinics In Perinatology written by Alan R. Spitzer and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-29 with Medical categories.


This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.



Fanaroff And Martin S Neonatal Perinatal Medicine E Book


Fanaroff And Martin S Neonatal Perinatal Medicine E Book
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Author : Richard J. Martin
language : en
Publisher: Elsevier Health Sciences
Release Date : 2024-01-30

Fanaroff And Martin S Neonatal Perinatal Medicine E Book written by Richard J. Martin and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-01-30 with Medical categories.


**Selected for Doody's Core Titles® 2024 in Pediatrics**A must-have reference for both general physicians and advanced practice providers, Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant provides trusted, time-tested guidance on the management and evidence-based treatment of problems in the mother, fetus, and neonate. The fully revised 12th Edition is an ideal resource for every stage of practice and remains the most comprehensive, multidisciplinary text in the field. Drs. Richard J. Martin and Avroy A. Fanaroff from Rainbow Babies and Children's Hospital bring you up to date with everything from diagnosis and treatment selection through post-treatment strategies and management of complications—all with a dual focus on neonatology and perinatology, and all designed to help you improve the quality of life and long-term outcomes of your patients. - Provides up-to-date, evidence-based content throughout, including state-of-the-art coverage of personalized medicine and genetics - Contains new chapters on Big Data for the Smallest Patients: What we can learn from neonatal database research; Role of Umbilical Cord Management in Neonatal Resuscitation; Care of Periviable Micropremies: the Japanese perspective; Longer Term Respiratory Outcomes of Prematurity; and Perinatal Palliative Care - Features extensive updates throughout, including blood and the hematopoietic system; social and economic contributors to neonatal outcome; fetal growth restriction; diagnostic imaging of the neonate; anesthesia in the neonate; postnatal bacterial infections; neonatal management of congenital heart disease; and retinopathy of prematurity - Includes over 600 detailed, full-color illustrations that depict disorders in the clinical setting and explain complex information - Provides indexing in both volumes that provides quick access to specific guidance - Offers a global perspective with an expanded number of international contributors - An ideal resource for clinical practice as well as recommended reading for neonatology board review or maintenance of certification - Any additional digital ancillary content may publish up to 6 weeks following the publication date



Pediatrics A Competency Based Companion E Book


Pediatrics A Competency Based Companion E Book
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Author : Maureen C McMahon
language : en
Publisher: Elsevier Health Sciences
Release Date : 2011-05-24

Pediatrics A Competency Based Companion E Book written by Maureen C McMahon and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-05-24 with Medical categories.


Pediatrics: A Competency-Based Companion, by Maureen C. McMahon, MD and Glenn R. Stryjewski, MD, MPH, is designed to teach you to think like an experienced clinician. The only text written in the framework of the Core Competencies developed by the ACGME, its case-based approach illustrates the thought processes that effective practitioners use to approach and evaluate common pediatric presentations. Learning is easy through an intuitive, practical organization...a concise, high-yield presentation...graphs, tables, and other at-a-glance features, such as Professors’ Pearls" that provide cases with questions and annotated answers...and a framework that allows you to track your progress and that of your patients in relation to ACGME and AAMC expectations. A convenient pocket-sized format enables you to review the material on the go, and online access via Student Consult includes online extras such as "Integration Links" to bonus content in other Student Consult titles, a Competency Self-Assessment Log, Vertical Reads, and much more. Master ACGME Core Competencies with the aid of a color-coded system that helps you to integrate evidence-based medicine, continual self-assessment, and cognizance of interpersonal skills into your daily routine. Access the high-yield core information you need for pediatric rotations in a portable, pocket-sized format that organizes the most common, must-know pediatric signs/symptoms and disorders by patient presentation. Learn to see the "big picture" with the aid of "Teaching Visuals" chapters and "Speaking Intelligently" and "Clinical Thinking" features in clinical chapters. Easily locate more in-depth information on any topic with references to Nelson Essentials of Pediatrics, 6th Edition. Access the complete contents online at www.studentconsult.com, along with "Integration Links" to bonus content in other Student Consult titles...a Competency Self-Assessment Log... "Professors’ Pearls" that provide cases with questions and annotated answers...Vertical Reads...and many other features to enhance learning and retention. Get advice on managing your career, time, and life outside the clinical setting via bonus online appendices.



Emerging Topics And Controversies In Neonatology


Emerging Topics And Controversies In Neonatology
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Author : Elaine M. Boyle
language : en
Publisher: Springer Nature
Release Date : 2020-02-05

Emerging Topics And Controversies In Neonatology written by Elaine M. Boyle and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-05 with Medical categories.


This textbook addresses the themes that are at the forefront of neonatal clinical care and research, based on natural divisions in care during pregnancy, and postnatally by gestational age at birth. The book offers a unique approach, in that it proposes discussion of important general principles underpinning neonatal care that are not addressed in most general neonatology textbooks, such as ethical issues, counselling, effective training methods, quality and safety, among other subjects. These are fundamental aspects and challenges that need to be appreciated by senior clinicians. A chapter authored by parents describing their perspectives of neonatal intensive care is unique and will be highly educational, with the potential to influence the way in which individuals view and deliver neonatal care. The authors discuss common and important conditions, to promote adoption of sound evidenced based practice where this is available. However, where evidence is limited, as is the case in many areas of neonatal practice, the authors aim to encourage critical thinking and evidence appraisal, which are necessary skills for busy clinicians wishing to filter evidence to guide delivery of care. This text is suitable for senior trainees wishing to pursue a career in neonatal medicine, early career neonatologists and paediatricians with an interest in neonatology. It is also of interest to established neonatologists wishing to update their neonatal knowledge. The content is based on the RCPCH Level 3 curriculum, and addresses important topical and/or controversial aspects of neonatal care.



Principles Of Neonatology E Book


Principles Of Neonatology E Book
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Author : Akhil Maheshwari
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-09-08

Principles Of Neonatology E Book written by Akhil Maheshwari and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-08 with Medical categories.


Written by leading global experts in the field, Principles of Neonatology provides those on the NICU team with clinically focused, evidence-based guidance in an easy-to-access format. Chapters cover the key topics of greatest and most frequent concern to clinicians treating newborns, delivering current, data-driven management and treatment advice in a single source relevant to the seasoned practitioner, fellow, or trainee. - A highly templated format makes it easy to find exactly the information you need - Lavishly illustrated with photos, radiographs, drawings, and charts and graphs that clarify key concepts in a helpful and accessible way - Evidence-based focus ensures that only the most reliable treatment protocols and clear-cut, data-driven guidance are included - Coverage of all relevant topics in the NICU: skin lesions, congenital anomalies, architecture/development of neonatal intensive care units, pain control, anesthesia for newborn infants, and much more - Ideal for every member of the NICU team: neonatologists, neonatology fellows, residents, and neonatal nurses, as well as all other clinicians working in the NICU, including PAs, occupational therapists, respiratory therapists, and others



Perinatal And Neonatal Infections An Issue Of Clinics In Perinatology Ebook


Perinatal And Neonatal Infections An Issue Of Clinics In Perinatology Ebook
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Author : Joseph B. Cantey
language : en
Publisher: Elsevier Health Sciences
Release Date : 2021-06-03

Perinatal And Neonatal Infections An Issue Of Clinics In Perinatology Ebook written by Joseph B. Cantey and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-03 with Medical categories.


In this issue of Clinics in Perinatology, guest editors Joseph B. Cantey and Andi Shane bring their considerable expertise to the topic of Perinatal and Neonatal Infections. - Provides in-depth, clinical reviews on Perinatal and Neonatal Infections, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.



Ethics And Research With Children


Ethics And Research With Children
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Author : Eric Kodish
language : en
Publisher: Paperbackshop UK Import
Release Date : 2018-12-24

Ethics And Research With Children written by Eric Kodish and has been published by Paperbackshop UK Import this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-12-24 with Medical categories.


Promoting more thoughtful attention to the complex ethical problems that arise when research involves children, this fully updated new edition of Ethics and Research with Children presents 14 case studies featuring some of the most challenging and fascinating ethical dilemmas in pediatric research.